Orthodontics and Ideas Column – Hybrid orthodontic preparation for orthognathic surgery – case report

Vol. 16 – Number 61 – 2023 Orthodontics and Ideas Column Page 14-24 Hybrid orthodontic preparation for orthognathic surgery – case report Nivaldo Oliveira1 Guaracy Lyra da Fonseca Júnior2 Ney Tavares Lima Neto2 Gurgiane Rodrigues Gurgel3 Maria Eduarda Agripício4 Bernardo Siqueira de Oliveira5 Abstract The anterior open bite is seen as one of the greatest challenges of orthodontists; this malocclusion is still much discussed due to its multifactorial origin and because it is considered of great importance to patients by the aesthetic factor. As the search for aesthetics is increasing, the 3D-BOT technique emerges, which fixes the wire on the occlusal faces of the teeth, using a high-precision three-dimensional technique. The anterior open bite (MAA) can be defined as the presence of a negative vertical trespass between the incised edges of the upper and lower anterior teeth. In large cases, the alternative for correction of AAM is orthognathic surgery, which allows the patient a more functional and aesthetic result. The aim of this case report is to show the possibility of treatment of an anterior open bite, with a hybrid technique, joining the 3D-BOT technique with the fixation of brackets by vestibular and orthognathic surgery. Alignment and leveling was performed with superior 3D-BOT technique and self-connected apparatus in the lower arch, preparing the patient for subsequent orthognathic surgery. In conclusion, you can correct an MAA using a hybrid technique. Descriptors: Open bite, orthognathic surgery, 3D-BOT, Orthodontics. 1 Specialist and Master in Orthodontics, Professor of the specialization course in Orthodontics – FACSETE. 2 Master in Orthodontics – SL Mandic, PhD in Orthodontics – SL Mandic, Professor and Coordinator of Specialization Courses in Orthodontics – FACSETE. 3 Specialist in Orthodontics, Master in Dental Sciences, Professor of the specialization course in Pediatric Dentistry – FACSETE. 4 Specialist in Orthodontics – FACSETE. 5 Specialist in Orthodontics and Implantology – FACSETE. DOI: 10.24077/2023;1661-09983145o